UNICEF
State Consultant WASH in Health
Consultant, Monitoring, Evaluation, Policy, Research
Raipur Chhattisgarh
Application Email : raipur.consultants@unicef.org

Website

www.unicef.org

Job Type

Full Time

Closing Date

Jun 15 2021

Description

Title of consultancy: State Consultant WASH in Health

 

Location:  Raipur/Chhattisgarh

 

Closing Date: 15 June 2021

 

TERMS OF REFERENCE FOR CONSULTANTS/INDIVIDUAL CONTRACTORS

 

1. BACKGROUND / RATIONALE

 

Delivering quality, people-centred health care for all demands improved water, sanitation and hygiene (WASH) facilities, services in health care facilities. Provisioning adequate quality water, access to sanitation facilities and appropriate hygiene behaviour waste management, environmental cleanliness in health care facilities is very much significant at such an unprecedented moment, when coronavirus disease is exposing key vulnerabilities in health systems mostly as inadequate Infection Prevention and Control (IPC).  Health care associated infections (HAI) are a constant risk to care seekers, health staff and communities. Weak, poorly functioning WASH and IPC programmes result in a vicious cycle of widespread infection, antibiotic use and misuse and spread of anti-microbial resistance (AMR). Effective WASH and IPC will reduce the spread of all types of infections – including resistant ones.

 

As per SRS 2018, in Chhattisgarh 11.5 percent of children die within first year that is 11.8 percent at rural and 9.9 percent in urban.  Neonatal mortality rate (less than 29 days) in Chhattisgarh is 29 and ranges from 22 in urban and 30 in rural. Early neo-natal mortality rate, i.e. number of infant deaths less than seven daysof life per thousand live births, forms an important component of infant mortality rateand more specifically of the neo-natal mortality rate.In Chhattisgarh the early neo-natal mortality rate has been estimated at 22 and ranges from 23 in rural areas to 19 in urban areas. The peri-natal mortality rate (PMR - the number of still births and infant deaths of less than 7 days) in Chhattisgarh has been estimated to be 32 and ranges from 33 in rural areas to 27 in urban areas.Maternal mortality at 159 per 100000 live births annually, is also a major contributor of new born deaths.

 

Data from Specialized New-born Care Units (SNCUs) MIS 2020 from Chhattisgarh suggests that 17.3% of the newborn deaths are caused because of sepsis. In Chhattisgarh, 70% of the IMR (SRS Statistical report 2018) is due to neo natal mortality and sepsis being the major cause for these deaths and potential Health Care Associated Infections (HCAIs) directly associated with infection due to poor WASH in health care institutions. As per Lancet 2000, up to 50% of total Health Care Associated Infection (HCAIs) could be prevented, majorly through effective WASH in health measures. The optimum impact of saving a child is ensured through providing safe and infection free environment around birth, i.e. at health centres.

 

To ensure infection free environment in health care facilities, UNICEF is providing technical and handholding support to enhance WASH in health facilities (HF) especially focussing on labour room, SNCU, ANC/PNC (Ante Natal and Post Natal Care) wards etc. in both the HPD in the state, based on request of Directorate of Health, Govt. of Chhattisgarh improved WASH facilities are part of infection control. As part of this initiative, National Health Mission (NHM)CG and UNICEF will build capacity of health professionals in both the HPDs including all District Hospitals (DH), all Community Health centres (CHC), all Primary Health Centres (PHC) and all Sub Health centres (SHC). Special focus will be given to the LaQshay facilities (Labour Room Quality Improvement Initiative).

 

UNICEF have successfully tested the initiative across few identified facilities in 2 districts (Dantewada, Bijapur) of Chhattisgarh. During the roll-out of the pilots several tools have already been developed which are ready to be used. In 2021-2022 UNICEF would roll out the s initiative across other HCFs in Dantewada, Bijapur and 2 more districts (will be finalised in consultation with NHM). UNICEF also wants to keep its advocacy efforts to roll-out the initiative across state.

 

Further the consultant would also support various stakeholders in promoting and monitoring the COVID sensitive behaviours towards improving WASH in HCFs. In the current context of COVID 19 pandemic technical support to health department would be in development of plan, capacity building of key stakeholders, community sensitization, development of knowledge product, case study and reporting by contextualizing COVID 19 efforts and innovations.

 

This assignment will be able to contribute to the output 3 of Chhattisgarh WASH RWP for 2021-22. 

 

2. PURPOSE OF ASSIGNMENT

 

Purpose of this assignment is to support National Health Mission (NHM)-CG in developing capacities of Health Care Staff for improvement of WASH facilities in Health Centres in two districts. Special focus will be on point of care quality improvement (PoCQI) such as at labour rooms, post-natal wards, Special New-Born Care Units (SNCUs), ANC/PNC units, Paediatric wards and Out Patient Departments (OPD). Documentation and sharing of these initiatives will further help to scale up across the State.

 

The purpose of this assignment is to hire the services of a technical consultant/expert to strengthen the WASH infrastructure, services and practices around infection control in HCFs. The expert will also strengthen the infection control and bio-medical waste facilities in Dantewada and Bijapur districts in collaboration with CHMO and district administration.

 

In 2022 the person will also support in rolling out the key policies, guidelines, and initiatives through planning, implementation, monitoring of the progress regarding infection control in the state and additional two more focused districts. The focus of consultant will be on institutionalization of infection control measures within NHM. The person will support the district and state NHM to build the capacity at state, district, and block officials.

 

3. PROGRAMME AREA AND SPECIFIC PROJECT AREA

 

Program area: Water Sanitation and Hygiene (WASH)

 

4. OBJECTIVE/S

 

The key objectives of this consultancy include:

  • Technical support for systematic rapid assessment of WASH in health facility through the available assessment tool.

  • To assist in preparing and roll out WASH in HCF improvement plans including IPC for COVID-19 and provide handholding support to identify resource gaps and help leveraging/ provisioning though NHM/ other budget heads.

  • Support and follow up with Nodal officers at State and district level in all intervention districts.

  • Capacity Building of NHM staff to continue focused approach on infection prevention and control to achieve over 90% compliance in all high delivery load health care facilities.

  • Facilitate District Health Society’s meeting in all the intervention districts and discussed the gaps in implementation of WASH in health program as per key action points with recommendations.

  • To support in conducting climate risk assessment of WASH in FCFs in selective districts

  • Document learnings and draft plan for operationalization of improvement with NHM Implementers and policy makers for improved action and resourcing for WASH in Health and contribute to state-wide Scale up

5. MAJOR TASKS TO BE ACCOMPLISHED

 

First phase of the TOR would be from 1 July 2021 to 15 June 2022 (11.5 months) and Phase two would be after 15 days gap from 1 July 22 to 31 Dec 22 (6 months).

 

  1. Major Task # 1 - To provide technical support to NHM in gap analysis and planning of WASH in HCFs in Chhattisgarh.

  2. Major Task # 2 To plan, support and coordinate COVID - specific activities in Quarantine and Isolation wards as per WASH and IPC guidelines for COVID-19.

  3. Major Task # 3 – To support and facilitate the experience sharing and capacity building on WASH in HF.

  4. Major Task # 4– Bimonthly monitoring of WASH interventions in HCFs of intervention districts through the assessment tool.

  5. Major Task # 5 – Documentation and development of knowledge products.

6. DELIVERABLES AND DEADLINES

Specific service / outputs to be delivered at a specific time as per stated objectives and performance / quality requirements. Must include capacity building deliverables.

 


Tasks/ Activity

Deliverable

Deadline for submitting the deliverable

Travel days

Payment linked to deliverables

Phase 1: 1 July 2021 to 15 June 2022 (11.5 months)

Task 1: To provide technical support to NHM in gap analysis and planning of WASH in HCFs in Chhattisgarh.

Activity 1: Consultative workshop in two new districts with resource pool for rapid assessment.

 

Activity 2: Technical support to the district to conduct rapid assessment (using already developed format) and support in developing the costed improvement plan in 13HCF in two intervening districts

 

  • Training report for 2 districts with list of resource -pool. (5%)

  • Meeting of Minutes available of WASH in Health status reviewed during state level meeting with QA –NHM. (5%)

  • Health facility wise key WASH and IPC assessment findings compiled and shared with DHS/CMHO and state QA unit NHM for action.  (10 %) 

  • 31 July 2021

5 days

20 %

Task # 2 COVID - specific activities for Quarantine and Isolation wards for hospital preparedness in line with available guidelines including IPC for COVID-19

Activity 1: Develop check list for isolation and quarantine ward in line with guidelines of central and state pollution control board, WHO and DoHFW, Chhattisgarh

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Activity 2: Orientation of District Quality managers and Hospital Administrators on hospital preparedness on WASH and IPC for emergency and pandemic conditions like COVID 19

 

 

 

  • Customised checklist for isolation and quarantine wards on WASH and IPC for self-monitoring of facilities including current status and priority actions to be undertaken. (5 %)

  • Facilitate self-assessment in selective isolation and quarantine wards, identify the gaps and recommendation in the context of the COVID situation.  (10%0

  • A brief note developed from compiled data from districts on HCFs status visa vis  available guidelines for “Hospital preparedness during pandemic situation” and shared with NHM to review. (10 %)

 

 

  • Orientation report with list of participants available (10%)

30 Sept 2021

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31 Oct 2021

10 days

35 %

Task # 3 – Experienceshare workshop, WiHCF progress updates and Capacity building of health personnel on WiHCF and NRC.

Activity 1: Capacity Building of health personnel of two districts on WASH assessment and costed improvement plan preparation including WASH and IPC protocols for COVID-19

  • Training report with Action plan (15%)

 

 

31 Dec 21

8 days

15 %

Task # 4– Bimonthly monitoring of WASH interventions in HCFs of two UNICEF supported districts by using the assessment tool.

Develop of state level follow up plan for bimonthly monitoring of WASH and IPC interventions siting best practice by facility in charge in 2 UNICEF in supported districts

  • Development of format and compiled report by -February of two UNICEF supported districts (5%)

  • Rolling of WASH climate risk assessment toll in two districts (10%)

28 Feb 2022

7 Days

15 %

Rask # 5 - Documentation and development of knowledge products.

Documentation and Development of Knowledge Products

  • Three case studies on WiHCFs from UNICEF support districts (5 %)

 

  • Content development for two IEC material on WiHCFs (10%)

15 April 2022

 

 

 

31 May   2022

10 Days

15 %

 

 

 

40 days

100%

15 Day Break

Phase 2: 1 July - 31 December 2022 (6 months)

Task 1: To provide technical support to NHM in gap analysis and planning of WASH in HCFs in Chhattisgarh

Activity 1: Undertake technical consultation in 2 new district and identify a resource pool to undertake the rapid assessment. and provide training in the two new districts

 

Activity 2: Technical support to the district to conduct rapid assessment (using already developed format) and support in developing the costed improvement plan in 13HCF in two intervening districts

 

  • Training report for 2 new districts with list of resource poll. (15 %)

 

 

 

 

 

 

  • Brief district report (2 new districts) based on the rapid assessment. (10 %)

 

30 July 22

5 days

25 %

Task # 3 – Experienceshare workshop, WiHCF progress updates and Capacity building of health personnel on WiHCF and NRC.

Activity 1: Capacity Building on WASH assessment and costed improvement plan preparation (two additional districts) including WASH and IPC protocols for COVID-19

 

 

 

  • Training report with Action plan (25%)

 

 

 

31 August 22

8

25 %

Task # 4– Bimonthly monitoring of WASH interventions in HCFs of two UNICEF supported districts by using the assessment tool.

Develop of state level follow up plan for bimonthly monitoring of WASH and IPC interventions siting best practice by facility in charge in 2 UNICEF in supported districts

  • Analysis of modification of format (if required to be done) and compiled report till Sept. of four districts (additional two) UNICEF supported districts (15%)

  • Rolling of WASH climate risk assessment toll in two new districts (10%)

31 October 2022

8

25%

Task # 5 – Documentation and development of knowledge products

Documentation and Development of Knowledge Products

  • Three case studies on WiHCFs from UNICEF support districts (15 %)

Content development for two IEC material on WiHCFs (10%)

31 December 22

7

25 %

 

 

 

28 days

100 %

 

7. DUTY STATION

The consultant will be based in Raipur.

 

8. SUPERVISOR

working under the direct supervision of UNICEF WASH Specialist and in close coordination with UNICEF Health Specialist. 

 

9. OFFICIAL TRAVEL INVOLVED (ITINERARY AND DURATION)

Travel to the districts to oversee implementation and monitoring of communication   activities. approx. 4-5 days per month to districts in Chhattisgarh. Total approx. 40 days during the year in phase I and 28 days in phase II. Travel is subject to COVID-19 pandemic and restrictions, if any.  In some case, there might be the need to travel to other states to attend meetings/workshops/conferences as deemed fit.

 

10. cESTIMATED DURATION OF CONTRACT (PART TIME / FULL TIME)

01 July 2021 – 31 December 2022 (17.5 months)

After the completion of 11.5 months, there is a 15-day mandatory break.

 

The contract will be renewed for Phase 2 deliverables on the basis of performance review, programmatic priorities and availability of funds.

 

11. QUALIFICATIONS / SPECIALIZED KNOWLEDGE / EXPERIENCE/ COMPETENCIES (CORE/TECHNICAL/FUNCTIONAL) / LANGUAGE SKILLS REQUIRED FOR THE ASSIGNMENT (Please use as applicable)

  • Post graduate degree in Public Health / Business Administration/ Social Work / Mechanical or civil engineering, specialized knowledge and experience of at least 02-05 years in community water supply, sanitation,  quality assurance in public health programmes;out of which, at least 1-2 years relevant WASH in Health field experience, including ability to undertake capacity building for WASH in health care centers

  • Experience of working with Government and/or International Agency will get preference.

  • Good understanding of the Indian Public Health Standards and national flagship programs under NHM of Ministry of Health and Family Welfare like Kayakalp, LaQshya, Swasth Swacch Sarvatra and other emerging initiatives on child survival and development

  • Thorough understanding and working knowledge of the concepts and principles status and new policies relating to WASH in Health and Infection Prevention and Control.

  •  At least three years relevant WASH in Health field experience, including ability to undertake capacity building for WASH in health care centers.

  • Excellent communication skills in Hindi and English; ability to speak, read and write fluently in both languages,

  • Computer skills efficiency, at least of MS-Office application software (MS Word, Excel, Power Point)/Auto CAD/GIS.

  • Initiative, passion and commitment to UNICEF’s mission and professional values

  • Familiarity of working in Chhattisgarh, especially with Government/ NHM/ District Administration in the state will be an advantage

 

 

12. SELECTION PROCESS:

 

Quality and Cost Based Selection (QCBS)     

 

QCBS (Technical Evaluation Criteria - with weights for each criteria)

 

CVs of the potential candidates for the proposed positions shall be selected from the applications received through advertisement by UNICEF in agreed platforms. Thereafter, a Technical Desk Review (TDR) of the selected CVs would be done by a joint team of 03 persons. Candidates shortlisted based on the TDR shall be interviewed by a joint panel of 3 persons. TDR and PI together will form the technical evaluation that would require minimum of 56 marks for opening of financial bid.

 

i. Weightage of Technical & Financial 80/20 (Technical / Financial)

 

i i.Technical Evaluation Criterion

 

The CVs selected from the open advertisement shall be reviewed along the first 3 points of the table provided below. This would be treated as the Technical Desk Review (TDR) for 40 marks. A Personal Interview (PI) of 40 marks shall be conducted for all the candidates shortlisted based on the TDR. TDR and PI together will form the Technical Evaluation of 80 marks out of the total 100 marks. Financial bid shall be opened for those candidates only who would be acquiring a minimum of 70% marks (56 Marks) out of the total 80 marks in the Technical Evaluation Balance 20 marks shall be used for the Financial Evaluation.

 

 

 

Applicant

TECHNICAL QUALIFICATION (max. 80 points)

 

Technical Capacity (80 points)

 

Relevant Educational Qualification

10/7

Relevant Work Experience

10/7

Cover letter + Two samples of work, where the candidate was a key author

20/14 

Technical Interview

40/28

Technical Qualification – Total Points

80/56

Financial Proposal

20

Total

100

13. PAYMENT SCHEDULE

Payment will be linked to deliverables. Travel cost will